Wondering what minimally invasive spine surgery is? This blog is for you – Boca Raton’s most trusted source of information


Are you scheduled for minimally invasive spine surgery and nervous about it? Surgeries can be scary, especially back surgeries. Don’t feel anxious. Read this blog to find out what to expect from MISS.

Minimally invasive spine surgery

Until technological developments in the medical field, back surgery was a grueling (no pun intended) procedure. The doctor will make an incision about 5 inches in the back. Then the muscles will be moved to the sides, so that the doctor can look inside to operate on the defective area.

Open surgeries can be very risky. The patient may not fully recover or suffer from serious side effects. Since the muscles are moved, they can also be permanently damaged.

In minimally invasive spine surgery, the doctor does not have to make a 5-inch incision. With technological advances, the doctor only has to make an incision in the painful area. The MISS procedure is safe and easy. After the surgery, the patient can go home in a short time.

In MISS, the muscles will not be moved, so the patient will not feel any pain after the surgery. It can be performed as an outpatient procedure as well. The MISS simply has many advantages over the typical open spine surgery.

MISS Treatment Needs

First of all, you don’t have to have surgery if you don’t have to. Some spinal conditions can be treated with medication. Have surgery only if the disease does not improve with other treatments. Consult a doctor of Awakened spinal fusion will help you get a better idea about the minimally invasive spine surgery procedure.

Conditions that can be cured with MISS are:

  • Herniated disc
  • spinal stenosis
  • Spinal instability
  • fractured vertebra
  • Spinal deformities
  • Degenerative disc diseases
  • Scoliosis

If you suffer from any of the conditions mentioned above, consult a doctor. The MISS treatment can help you tremendously.

MISS procedure

Before explaining the MISS procedure, a brief description of the instrument used in the MISS procedure is necessary. Besides the usual surgical tools, two exclusive tools are used in this procedure. They are:

  • Tubular spreader
  • Operating microscope

– Tubular retractor

A tube retractor is a tool used to create a tunnel between the doctor and the diseased area. Using a tubular retractor, the doctor can gain access to the spine using small surgical tools that will fit inside the tubular retractor. You can read more about tubular spacers here.

-Operating microscope

As said, in MISS, the incision will be minor, so the doctor’s vision will be limited. The microscope is used to enlarge the operating area, so that the doctor can operate without any difficulty in seeing.

Now that you know enough about the tools, we can go back to the MISS procedure.

Step 1:

First, the surgeon must know where to make the incision and where the retractor should be inserted. For this, a method called fluoroscopy is used. In this method, the patient’s spine will be shown to the doctor as x-ray images. Throughout the surgery, these images will be available to the doctor. The surgeon will view the patient’s spine with a microscope for a better view.

2nd step:

After deciding where to make the incision, the surgeon will make a small incision. A tubular retractor will be inserted through the tissues. The surgeon will access the spine through the retractor. Everything that goes out or goes in must go through this tube.

Step 3:

The retractor will not be removed until the end of the surgery. For some operations, more than one spacer will be used. Once the procedure is complete, the retractor will be removed and the incised area will be closed. Damage will be minimal in MISS compared to open surgery.

Risks involved

No surgery is without risk. As minimal as the incision is, there are some risks associated with MISS. Some of the potential side effects of MISS are:

  • nerve damage
  • Pseudarthrosis
  • beds of blood
  • Bleeding
  • Infection

These are some of the risks associated with the surgery. Side effects associated with surgery are not limited to this list.


Open surgery requires hospitalization for at least 5 days. But, in MISS, the patient will be sent home the same day or the next day. You will experience pain for a few days, which can be treated with medication. Be sure to consult the doctor before taking over-the-counter products. Follow the instructions given by your surgeon. You will feel good in no time.


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